[A comparative evaluation of the use of pyeloureterostomy and ureterocystostomy in treating the urological complications following kidney transplantation].
Ureteral stricture and necrosis after allotransplantation of the cadaver kidney were corrected in 14 and 7 patients, respectively. 12 patients have undergone ureterocystostomy, 9 patients--pyeloureterostomy with the recipient's ureter. Shortly after ureterocystostomy anastomosis insufficiency developed in 7 out of 12 patients, after pyeloureterostomy in 1 of 9 patients (p < 0.05). Secondary complications led to the transplants' rejection in 5 of 12 and 1 of 9 patients, respectively (p < 0.05). 2 patients died due to septic complications after ureterocystostomy. Long after surgery stricture in anastomosis and distal ureter occurred in 3 recipients after ureterocystostomy; after pyeloureterostomy (6 months and 2 years) nephrectomy was conducted in 2 cases because of clinical manifestations of pyelonephritis. It is inferred that pyeloureterostomy with the recipient's ureter is preferable to ureterocystostomy in the treatment of ureteral necrosis and stricture following transplantation of the kidney.
Trapeznikova
M F
MF
Kazimirov
V G
VG
Perlin
D V
DV
Urenkov
S B
SB
D003559:Cystostomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007682:Kidney Pelvis / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D012086:Reoperation / Q000379:methods; D013997:Time Factors; D014519:Ureterostomy / Q000379:methods*; D014570:Urologic Diseases / Q000209:etiology / Q000601:surgery*
Sravnitel'na otsenka primeneniia pieloureterostomii i ureterotsistostomii pri lechenii urologicheskikh oslozhneniĭ posle transplantatsii pochki.